Revisions

23-4, Sections 1220, 2132, 3200, 3511, 5311, 7200, 7612, Form 2603 Instructions Revised

Revision Notice 23-4; Effective Dec. 1, 2023

The following change(s) were made:

Section	Title	Change
1220	Long Term Services and Supports	Amends language for clarification purposes. Updates the definition of attendant care services.
2132	MCO Coordination Procedures for an MDCP Applicant Approved for a Limited NF Stay	Amends language for clarification purposes. Updates instructions for MCOs around limited nursing facility (NF) stay. Removes the word “service coordinator” from mentions of “MCO service coordinator”.
3200	Member Reassessment	Removes an incorrect reference to Community First Choice (CFC). Removes the word “service coordinator” from mentions of “MCO service coordinator”.
3511	STAR+PLUS Transition Activities	Updates link to STAR+PLUS Handbook.
5311	Developing the Individual Service Plan in the CDS Option	Updates instructions for completing denials, reductions in services and suspensions. Updates instructions in the Consumer Directed Services (CDS) option for a registered nurse (RN). Removes the word “service coordinator” from mentions of “MCO service coordinator”.
7200	External Medical Review	Amends language around the external medical review (EMR) process.
7612	Reversed Appeal Decisions	Updates language around PSU procedures for reversed appeal decisions.
Form 2603 Instructions	Form 2603, STAR Kids Individual Service Plan (ISP) Narrative	Revises instructions for when to prepare or update Form 2603. Provides clarification on documenting changes to services on the individual service plan (ISP) and provides clarification for when changes can be made.

23-3, Changes TexMedCentral Reference to MCOHub Throughout Handbook

Revision Notice 23-3; Effective July 21, 2023

The following change(s) were made:

Section	Title	Change
1311	Member Refusal to Participate in Service Coordination	Changes reference from TxMedCentral to MCOHub.
1630	Communication with the Managed Care Organization	Changes reference from TxMedCentral to MCOHub.
1810	Program Support Unit Notification Requirements	Changes reference from TxMedCentral to MCOHub.
2030	Managed Care Organization Coordination	Changes reference from TxMedCentral to MCOHub.
2111	Non-STAR Kids Individual Residing in an NF	Changes reference from TxMedCentral to MCOHub.
2112	STAR Kids Member Residing in an NF	Changes reference from TxMedCentral to MCOHub.
2113	MDCP MFP Applications Pending Due to Delay in NF Discharge	Changes reference from TxMedCentral to MCOHub.
2131	Individual Who is Approved for a Limited NF Stay	Changes reference from TxMedCentral to MCOHub.
2132	MCO Coordination Procedures for an MDCP Applicant Approved for a Limited NF Stay	Changes reference from TxMedCentral to MCOHub.
2133	Delays in Limited NF Stay for an Applicant Not Enrolled in STAR Kids	Changes reference from TxMedCentral to MCOHub.
2210	Medical Necessity Expiration	Changes reference from TxMedCentral to MCOHub.
2220	MDCP Start of Care Date for Interest List Releases	Changes reference from TxMedCentral to MCOHub.
2230	Member Reassessment	Changes reference from TxMedCentral to MCOHub.
3200	Reassessment of Medical Necessity or Level of Care	Changes reference from TxMedCentral to MCOHub.
3210	Reassessment of Medical Necessity or Level of Care	Changes reference from TxMedCentral to MCOHub.
3329	Reassessment Notification Requirements	Changes reference from TxMedCentral to MCOHub.
3410	Transfer from One Managed Care Organization to Another	Changes all references to TxMedCentral to MCOHub
3420	Member Transfer from Waiver Program to Medically Dependent Children Program	Changes all references to TxMedCentral to MCOHub
6200	Denial/Termination of Medically Dependent Children Program	Changes reference from TxMedCentral to MCOHub.
6210	Denial/Termination Due to Death	Changes reference from TxMedCentral to MCOHub.
6220	Denial/Termination Due to Residence in a Nursing Facility	Changes reference from TxMedCentral to MCOHub.
6270	Denial/Termination Due to Failure to Meet Other Program Requirements	Changes reference from TxMedCentral to MCOHub.
6280	Denial/Termination for Other Reasons	Changes reference from TxMedCentral to MCOHub.
7510	Continuation of Medically Dependent Children Program Waiver Services During a State Fair Hearing	Changes reference from TxMedCentral to MCOHub.
7520	Discontinuation of Medically Dependent Children Program Waiver Services During a State Fair Hearing	Changes reference from TxMedCentral to MCOHub.
7800	Community First Choice State Fair Hearing	Changes reference from TxMedCentral to MCOHub.
Appendix IX	Star Kids TxMedCentral Naming Conventions	Changes reference from TxMedCentral to MCOHub.
Glossary	Glossary	Changes reference from TxMedCentral to MCOHub. Relocates MCOHub to the M section of the glossary for alphabetical order.

23-2, Updates Appendix III

Revision Notice 23-2; Effective July 7, 2023

The following change(s) were made:

Section	Title	Change
Appendix III	LTSS Billing Matrix and Crosswalk	Updates billing matrix. Adds clarifying language and corrects a revenue code.

23-1, Adds Appendix XIV

Revision Notice 23-1; Effective March 1, 2023

The following change(s) were made:

Section	Title	Change
Appendix XIV	Home and Community-Based Services Settings Rule	Creates new appendix for the Home and Community-Based Services Settings Rule.